Yukon, OK · Canadian County

Affidavit of Exemption Under the Workers’ Compensation Act

This affidavit lets a business owner, officer, or manager state why the business qualifies for a workers’ compensation exemption when providing professional services in Yukon.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The affidavit identifies the business and the signer’s role, then asks the signer to state the exemption ground that applies, such as sole proprietorship or qualifying ownership. It also includes statements about insurance for employees and work performed in Yukon by coworkers, employees, partners, or co-owners. The form says the signer makes it so the City of Yukon can rely on it when the business provides professional services.

Who needs it

A business owner, officer, or manager providing professional services in Yukon who claims an exemption under the Workers’ Compensation Act needs this affidavit.

Why it needs a notary

The signer takes an oath before the notary, who completes the form’s signed-and-sworn jurat, including the commission expiration and number.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the City of Yukon’s Affidavit of Exemption Under the Workers’ Compensation Act.

  2. 2

    Fill In the Form

    Provide the business and signer details, circle the applicable exemption grounds, and review the statements.

  3. 3

    Book an Online Notary

    Schedule a remote notarization with a commissioned online notary.

  4. 4

    Sign on Video

    Take the oath and sign the affidavit during your online notary appointment.

  5. 5

    Submit to the City

    Send the completed affidavit to the City of Yukon as directed.

Preview the form

The blank PDF straight from Yukon. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the Yukon exemption affidavit?
Enter the business and signer information, select the exemption ground or grounds that apply, and review the statements. Sign under oath before the notary, then submit the completed affidavit to the City of Yukon.
Do I need to sign this affidavit before a notary?
Yes. The form includes a signed-and-sworn jurat, so the signer must take an oath before the notary, who completes the notarial certificate.
Can I notarize this affidavit online?
Oklahoma authorizes remote online notarization for notaries who are commissioned and separately registered for online notarization. A commissioned online notary can notarize the signer’s oath by video; confirm with the city or county clerk if unsure.
Who should sign the affidavit?
The form is completed by a business owner, officer, or manager who states that the business is providing professional services in Yukon and identifies the applicable exemption ground.

Affidavit of Exemption Under the Workers’ Compensation Act in other Oklahoma cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Affidavit of Exemption Under the Workers’ Compensation Act?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.